How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $58.88 | Professional | None | $52.48 | $52.48 | $58.88 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | None | $83.18 | $83.18 | $97.72 |
BCBS Nebraska Setting Facility Modifier None Typical Low $44.67 Median $64.57 Typical High $125.89 | Facility | None | $44.67 | $64.57 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $138.04 | Professional | None | $109.65 | $125.89 | $138.04 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $109.65 Typical High $257.04 | Facility | None | $36.31 | $109.65 | $257.04 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $389.05 | Professional | None | $97.72 | $123.03 | $389.05 |
Midlands Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $134.90 | Professional | None | $109.65 | $125.89 | $134.90 |
Midlands Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $165.96 | Professional | None | $107.15 | $128.82 | $165.96 |
United Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $162.18 | Professional | None | $97.72 | $114.82 | $162.18 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Where Nebraska sits
The same service costs 3.1 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Nebraska· 2nd of 51
$123
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.